Organization
ENRICHING LIVES SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUISA NASH (OWNER)
(443) 722-6116
Entity
Organization
Contact information
Practice address
5109 YORK RD, BALTIMORE, MD 21212-4399
(443) 332-5777
Mailing address
911 W 36TH ST STE 2&7, BALTIMORE, MD 21211-2445
(443) 322-5777
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
02/19/2026
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